Individual
DR. JERRY JOSEPH LEBEDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 HERITAGE DR, SUITE 207, BOURBONNAIS, IL 60914-1369
(815) 933-3479
(815) 933-8698
Mailing address
19 HERITAGE DR, SUITE 207, BOURBONNAIS, IL 60914-1369
(815) 933-3479
(815) 933-8698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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